Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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Tidsskr. Nor. Laegeforen. · May 2008
[Variable prescription of opioids to cancer patients in Norway].
We examined prescription of the opioids used most often in cancer pain relief in the Norwegian counties, doctors' use of the law section concerning reimbursement of medicine to incurable far advanced cancer patients, and the prescription of analgesics with codein to this patient group. ⋯ Prescription of strong opioids varies substantially in Norway's counties. Doctors' knowledge, attitude, geographical and cultural differences may be some reasons for this. Knowledge about and use of the law section concerning reimbursement is probably not good enough. Increased awareness of how to treat cancer pain is important go give a good treatment offer to all in Norway.
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Tidsskr. Nor. Laegeforen. · May 2008
Historical Article[Burn treated at the Haukeland University Hospital Burn Centre--20 years of experience].
The Burn Centre at Haukeland University Hospital has had a national burn function since 1984. ⋯ Despite societal focus on burn prevention measures there has been no reduction in the number of patients transferred to the burn centre during the 20-year period.
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Tidsskr. Nor. Laegeforen. · May 2008
[Training in multiprofessional emergency medicine in primary health care].
Most Norwegian hospitals have systematically trained trauma teams in cooperation with the BEST Foundation: Better & systematic trauma care. A group of general practitioners, ambulance personnel and primary care nurses have modified this training concept for use in general practise, with the aim to strengthen acute medical competence within Norwegian primary health care. This study describes experience gained with a training method for dealing with receival and stabilisation of victims of injury in multiprofessional teams in primary health care. ⋯ This group of different health professionals reported a great need for training and a high outcome after the intervention. The findings support further dissemination of this training method in Norwegian primary health care.
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Antipsychotic medication is often prescribed to persons with dementia exhibiting behavioural and psychological symptoms (BPSD). Use of atypical antipsychotics in elderly persons with dementia is associated with an increased risk of serious cerebrovascular adverse events and increased mortality. ⋯ Antipsychotic medication in patients with dementia exhibiting BPSD should only be prescribed for short-term treatment of severe symptoms associated with considerable distress or serious risk. Non-pharmacological interventions should be the first-line treatment approach in most cases.